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AIM： To study the pathological relationship of vascular cell adhesion molecule-1 (VCAM-1) expression and monocyte/macrophage infiltration with focal brain ischemia. METHODS: Immunohistochemical technique and focal brain ischemia/reperfusion model were used in the study in order to explore profiles and time-course of VCAM-1 expression and monocyte macrophage (ED2 positive cell) infiltration in ischemic rat brain. RESULTS: VCAM-1 was up-regulated in microvascular endothelial cells in ischemic cortex at 1h postischemia, and continuously expressed during the time of reperfusion. ED2 positive cells infiltrated into ischemic cortex at 1h iscehmia/ 2h reperfusion and then ED2 positive cells increased gradually with the time of reperfusion, ED2 positive cell infiltration showed apparently relationship with VCAM-1 expression, and both of them exhibited the some changes of time-dependence. CONCLUSION: Cerebral ischemia induced VCAM-1 expression and ED2 positive cell infiltration and VCAM-1 may regulate the recruitment of ED2 positive cells in the ischemic brain region. The results suggested that VCAM-1 and ED2 positive cells may be participated in the pathogenesis of cerebral ischemic injury.
ABSTRACT
This thesis is the study of the morphology and arterial supply of the papillary musclcs of the left ventricle of 104 human hearts. The maim me-thod used is angiography and corrosion. The commonest number of the anteri-or and posterior papillary muscles is one. In 72 hearts there are musculartrabeculae by which the papillary muscle is attached to the wall of the leftventricle. The projection of the auterior papillary muscle of the left ven-tricle on the heart surface lies most frequently on the middle third regionof a supposed "#"-form region. There are three types of attachment of thepapillary muscle: the free, the attached and the intermidiate, among whichthe largest number is the first type. The arteries supplying the anteriorpapillary muscle are the branches of the anterior descending artery, theleft circumflex artery or these two. Each of the three types amounts to30% or so; the posterior papillary muscle is mostly supplied by the leftventricular posterior branches of the right circumflex artery 9.6 % ). The blood vessels in the papillary muscle belong to class B, each of the papillarymuscles containing 1--3 major vessels measured 0. 1--1 mm in diameter.The three vascular distribution types in the papillary muscle are of axis,segment and mixtnre, and the axial type is most commonly seen of all. Thevascular distribution type j? of certain relation to the attachment type ofthe papillary muscle. The axial distribution is frequently found in the freetype of the papillary muscle. The arteries distributes on either side of thepapillary muscle.
ABSTRACT
Objective To observe the cellular morphologic features of coronary sinus orifice(CSO) and its peripheral myocardium and discuss its functional significance in radiofrequency ablation atrial reentrant arrhythmias and AVNRT. Methods A total of 7 out of 15 cases were observed by means of autopsy, and serial sections of 7 cases of adult hearts in sagittal plane were stained with HE and Mallory staining. The cellular features of different muscular fibers and their arrangement were observed under light microscope; one case was studied under electron microscope. Results CSO and the majority of coronary sinus were encompassed by atrial myocardium; CSO fibers toward posterior was connected with extension of terminal crest (CT); and supravalvular muscular ring of right atrium(RAMR) and that toward anterior was connected with AVN. P cells were seen in superior-anterior and inferior-anterior wall of CSO. A lot of T cells were discovered on the inferior wall of CSO. Purkinje cells were mainly found in the superior wall of CSO. The muscular fibers from CSO to AVN were composed of T cells and dissected into two parts: the first one was called right atrial nodular bundle and the second one posterior node extension which was identical with the ablation target of slow pathway. In addition, lots of nerve fibers were seen in myocardium of CSO adjacency particularly in the tissue of the posterior wall of CSO. Conclusion Myocardium of CSO adjacency may belong to slow pathway of DAVNP. The myocardium of CSO adjacency participates in the formation of circular pathway in atrial reentrant arrhythmias and AVNRT. It is possible that CSO is an important latent pacing maker.
ABSTRACT
The normal arterial patterns in the left ventricle wall of 100 rabbithearts were studied by the methods of postmortem coronary angiogram, theclearing method and histological section, compared with that of the humanheart. The intramural arterial patterns in the left ventricle of the rabbitheart are similar to those of the human heart. "Branching" type arteries(Class A vessels) supply the whole of myocardium, including the subendoca-rdial zone, while "straight" type arteries(Class B vessels)mainly supply thepapillary muscle and trabeculae carneae where they form the subendocardialplexus. The arterial type in papillary muscles may be classified intosegmental pattern, axial pattern and mixed pattern. The arterial distributionof the left ventricular side in the interventricular septum is ruleless. Thecappillaries in all areas run parallel with the myocardial fibres and showthe crosscorexions somewhere.
ABSTRACT
Using the angiography and the corrosion methods we studied the arterial distribution of the papillary muscles of the left ventricle in llo dog hearts, according to the peculiarities of vasculature, disscused the influence of obstruction of coronary artery upon the papillary muscle.The anterior and posterior papillary muscles in dog all are tethered type. The average length and width of anterior papillary muscle are 1.96 cm. and 1.10cm, respectively, while those in the posterior papillary muscle are 2.04 cm. and 1.20 cm. respectively.The origins of arterial blood supply of anterior papillary muscle may be classiffied into 4 types, type Ⅰ, in which the arterial branehes are from the anterior descending artery, is in leading position(71%); type Ⅱ, in which branches are both from the anterior descending and left circumflex arteries, is in the next place(18%). Origins of arterial branches of posterior papillary muscle are classed under 2 types: type Ⅰ, in which all arterial branches are from the left circumflex artery, is the most, 91%, among them 65% from the posterior branch of the left ventricle.The peculiarities of arterial distribution in papillary muscles are as follows: 1. All artery branch entering the papillary muscle are of Class B. 2. All are segmental distribution in papillary muscles. Each muscle recieyes 2-9 branches, mostly 5 or 6 branches. 3. Each half of one papillary muscle recieves several branches symmetrically. 4. The arrangement of hrauches may be classiffied into several types; mixed type is the most, then comes the transverse type. 5. The branches anastomose each other to form the subendocardial plexus, which is most evident in the middle and upper third of the papillary muscle.
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Aging changes in acetylcholinesterase positive (AChE-P) neurons of the globus pallidus were investigated histochemically and morphometrically in young (3 months old) and old (24 months old) Spragur-Dawley male rats. The number of the positive neurons in the old group is decreased by 11.8％ in comparison with the young group. The total process length of the AChE-P neurons in the young rat is approximately 1.4 times as that in the old rat. The length of about 8.6％ of the positive neurons in the old group, however, exceeds the average length of AChE-P cellls in the young group (232.1 ?m). In the old rat, the gray value of AChE-P neurons of the globus pallidus is notably higher than that in the young rat, but the value of nearly 6.8％ of the positive cells in 24-month-old rat is inferior to the average value in 3-month-old rat (117.8). The transverse dimensions of AChE-P cell bodies in the old group are increased by 9.2％ as compared to those in the young group. Morphological observations show that most of AChE-P neurons in the old rat globus pallidus represent a typical degenerative alterations, while a substantial number of the positive neurons in the old animal are characterized by enlarged bodies, strong histochemical reaction as well as dense processes and their branches. The above findings indicate that, in the old rat, a decline of AChE histochemical reactivity and the morphological degeneraton of AChE-P neurons with the advanced age do not occur synchronously in all the AChE-P neurons of the globus pallidus. Therefore, it is suggested that there probably exist a compensative mechanism in senescence of the globus pallidus.
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The arteries and/or the veins of 30 human stomaches (11 adults,19 infants)were perfused with coloured gelatin or methylmethacrylate.The specimens were madeinto section and spreading preparation,and cast,and studied under LM and SEM.The main results were as follows:1.Mucosal arterioles divided into 2kinds of branches,i.e.luminal arteriole and glandular arteriole,and hadanastomosis.Luminal capillaries which lay in lamina propria around gastric pitoriginated from the luminal arterioles and from the glandular capillaries.2.Mucosalcapillaries drained into mucosal venule at 3 levels,viz.the luminal surface,theglandular neck and the glandular base.There were 2 kinds of venular anastomosis:the anastomosis between the straight mucosal venulae at the level of the glandularneck or the base of the gastric pit,and the basal venular plexus which lay betweenthe muscularis mucosae and the base of gastric gland.3.Mucosal blood vesselsobserved on transverse section might be divided into 3 parts:base-body,neck-body,and gastric pit.In neck-body part the density of capillaries is the highest.4.Flat,round or elliptic impressions of endothelial nuclei can be seen on the cast ofmucosal venule under SEM.It was interesting that a pit was noted at the center ofeach impre-ssion.The importance of mucosal blood vessels in the mucosa is forprotection from invasion and damage effected by luminal contents.
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Intramural vescular changes in the healing process after myocardial infarction were studied by the methods of histological section after ligating the left coronary artery of 119 rats. The intramural vascular patterns in the left ventricular free wall of the rat heart are similar to those of the human and the rabbit, but the patterns in the interventricular septum of the rat heart are only similar to those of the rabbit. The left ventricutar free wall contains 3,903?48 capillaries per mm~2 on the average. The capillaries in all areas run parallel with the myocardial fibres. After figuring the left coronary artery of the rat heart,the intramural vascular changes may be divided into three stages, i.e.avascularity, hypervascularity and hypovascularity, which coincide with the healing process of myocardial infarction. It is suggested that the coronary collateral circulation begins within the first two days, and increases gradually during 3 to 7 days after myocardial infarction. The evolutionary process of blood vessels in experimental myocardial infarction of rats is more rapid than that in the human and in the rabbit, but the process itself is similar to each other.
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The shape and position of the central fibrous body (CFB) and the relation between the CFB and the conduction system were observed in 30 human hearts (children: 25 cases, adult: 5 cases) in serial sections.The shape of the CFB was wedge-shaped. The CFB of each child was horizontal in position, but the CFB of each adult was nearly sagittal in position.A-V node was a long sagittal flat structure. Its left surface contacted with the CFB and the left surface of A-V node often extended processes into the CFB in the children. The processes were called archipelagos. About 80 percent of the children with superficial archipelagos, and 16 percent with deep archipelagos. The superficial archipelagos in the adults was only found in one case, but the deep archipelagos were not seen.His bundle more permanently penetrated into the right inferior part of the CFB.
ABSTRACT
The morphology and position of the AV node and AV bundle were observed in 13 human hearts with serial sections. 1.the AV node is a long sagittal flatt ened structure, its transverse section is triangular in shape with a right convex surface, sometimes the cross section is fusiform or half oval in shape. Its size is 3.5x3.3x1.1 mm in adult. In 5 cases the endocardium lying on the right surface of the AV node is elevated.2.The AV node is situated in the upper border of the atrioventricular septum (between the levels of the attachment lines of the mitral and tricuspid valves). The adult AV node is 1.8-5.8 mm anterior to the coronary sinus orifice, 0.3-0.7 mm from the endocardium of the right atrium, 3.3-7.5 mm above the upper border of the septal leaflet of the tricuspid valve. The left surface of the AV node contacts with the central fibrous body.3.The AV node can be divided in 2 parts: superficial and deep, the fibers of the super ficial part are longitudinal in sections and end in the lower border of the AV node. In one case, the deep part is subdivided in an upper part and a lower part. In the specimens in which the right atrial endocardium lying on the right surface of the AV node is elevated, the overlaying fibers end in the endocardium. At the upper border, right surface, and posterior margin of the AV node, there are atrial fibers ending to the AV node. 4. The adult AV bundle is 5.7-7.9 mm long, 1.1-1.5 mm in diameter. Its anterior part is on top of the muscular interventricular septum in 7 specimens, on its left surface in 3 specimens, and in the substance of the muscular interventricular septum in 2 specimens. In one case its course is very special, at first on the top of muscular interventricular septum, then at its left surface, finally in the substance of the right part of the muscular interventricular septum.